Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $29.51 / $79.43	Facility		$10.00	$29.51	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.00 / $15.14	Professional		$7.94	$10.00	$15.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $53.70	Facility		$13.49	$13.49	$53.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $6.61 / $10.23	Professional		$6.61	$6.61	$10.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $63.10 / $93.33	Professional		$39.81	$63.10	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $32.36 / $60.26	Facility		$13.49	$32.36	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $8.91 / $15.14	Professional		$7.59	$8.91	$15.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $15.85 / $19.95	Professional		$13.49	$15.85	$19.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $22.39 / $26.30	Professional		$10.96	$22.39	$26.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $11.75 / $12.59	Facility		$11.48	$11.75	$12.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $19.50 / $28.18	Professional		$11.75	$19.50	$28.18
Sentara Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $19.05 / $10,000.00	Facility		$10.47	$19.05	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $18.62 / $10,000.00	Professional		$10.47	$18.62	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $13.49 / $15.85	Facility		$5.62	$13.49	$15.85
United Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $7.94 / $14.13	Professional		$5.62	$7.94	$14.13